CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Ascension Via Christi Hospital Manhattan, Inc

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $9,391
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Ascension Via Christi Hospital Manhattan, Inc is $9,391. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 0.73x the Medicare baseline. Located in 1823 College Avenue, Manhattan, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$9,391

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$12,807.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12,807.1 (100%)
Insurance Median: $9,391 (73%)
Ins. Median: $9,391 (73% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12,807.1 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $9,030 71%
Medicaid / KanCare $9,391 - $9,481 73%
Aetna $9,391 73%
Blue Cross Blue Shield $21,251 - $22,370 166%

Consumer Guidance & Cost Commentary

For the Heart stent placement (inpatient stay) procedure at Ascension Via Christi Hospital Manhattan, Inc, the negotiated rates for in-network payers range from $9,030 to $22,370, with a median negotiated amount of $9,391. This facility is located in Manhattan, Kansas, and operates as a voluntary non-profit acute care hospital. While the data does not provide specific state or county average comparisons for this procedure, the facility's Medicare benchmark of $12,807.10 serves as a key reference point for evaluating pricing fairness. It is important to note that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures; therefore, patients with high-deductible plans may find that paying out-of-pocket directly could result in lower total costs if the cash price is available and the insurance allowed amount is significantly higher.

Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, unexpected charges can still occur if ancillary services like emergency physicians or labs are out-of-network. To minimize financial risk, it is advisable to request a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that should not be charged separately. Additionally, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% if paid in full upfront, bypassing the costly insurance claims processing cycle. Always verify your deductible status and ensure you are not signing away rights to dispute out-of-network costs before agreeing to any consent

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1823 College Avenue, Manhattan, KS 66502
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals